Evidence map›Paper›PMID 35743359›Full record

ArticleJournal of clinical medicine2022

Soluble Urokinase Plasminogen Activator Receptor (suPAR) in the Emergency Department (Ed): A Tool for the Assessment of Elderly Patients.

Ria M Holstein, Santeri Seppälä, Johanna Kaartinen, Mari Hongisto, Harri Hyppölä, Maaret Castrén

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ria M HolsteinFaculty of Medicine, University of Helsinki, 00350 Helsinki, Finland.ORCID 0000-0003-0611-6592
Santeri SeppäläSouth Savo Social- and Healthcare District, Mikkeli Central Hospital, 50100 Mikkeli, Finland.
Johanna KaartinenDepartment of Emergency Medicine and Services, Faculty of Medicine, University of Helsinki, Haartmaninkatu 4, PL 340, 00029 HUS, 00350 Helsinki, Finland.
Mari HongistoDepartment of Emergency Medicine and Services, Faculty of Medicine, University of Helsinki, Haartmaninkatu 4, PL 340, 00029 HUS, 00350 Helsinki, Finland.
Harri HyppöläSouth Savo Social- and Healthcare District, Mikkeli Central Hospital, 50100 Mikkeli, Finland.ORCID 0000-0002-9408-3462
Maaret CastrénDepartment of Emergency Medicine and Services, Faculty of Medicine, University of Helsinki, Haartmaninkatu 4, PL 340, 00029 HUS, 00350 Helsinki, Finland.
University of Helsinki · FIMoisio Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency department (ED) overcrowding is a global issue setting challenges to all care providers. Elderly patients are frequent visitors of the ED and their risk stratification is demanding due to insufficient assessment methods. A prospective cohort study was conducted to determine the risk-predicting value of a prognostic biomarker, soluble urokinase plasminogen activator receptor (suPAR), in the ED, concentrating on elderly patients. SuPAR levels were determined as part of standard blood sampling of 1858 ED patients. The outcomes were assessed in the group of <75 years (=younger) and ≥75 years (=elderly). The elderly had higher median suPAR levels than the younger (5.4 ng/mL vs. 3.7 ng/mL, p < 0.001). Increasing suPAR levels were associated with higher probability for 30-day mortality and hospital admission in all age groups. SuPAR also predicted 30-day mortality when adjusted to other clinical factors. SuPAR acts successfully as a nonspecific risk predictor for 30-day mortality, independently and with other risk-assessment tools. Low suPAR levels predict positive outcomes and could be used in the discharging process. A cut-off value of 4 ng/mL could be used for all ED patients, 5 ng/mL being a potential alternative in elderly patients.

Indexed as

AgedBiomarkersEmergency ServiceHospitalHumansPatient DischargePrognosisReceptorsRisk AssessmentUrokinase Plasminogen Activator

Identifiers

PMID35743359
PMCPMC9224884
OpenAlexW4281632116

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.